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General NPI Number Information
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NPI Number | 1487535787
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Entity Type | Organization
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Legal Business Name | BTH LLC
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 343 FRANKLIN RD STE 206
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City | BRENTWOOD
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State | TN
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Zip | 37027-5250
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Country | US
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Telephone | 615-454-2990
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Fax | 615-503-8423
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Provider Business Mailing Address
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Address Line | 343 FRANKLIN RD STE 206
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City | BRENTWOOD
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State | TN
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Zip | 37027-5250
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Country | US
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Telephone | 615-454-2990
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Fax | 615-503-8423
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Authorized Official
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Title or Position | OWNER
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Name | ENOCH ELLERSON HARTMAN III
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Credential |
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Telephone | 615-454-2990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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